Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40438272.
- Also identified by DOI 10.1097/OI9.0000000000000408 and PMC identifier 12114000.
- Licence recorded as CC BY-NC-ND.
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Abstract
A 42-year-old African-American woman sustained a type IIIA open pilon fracture requiring open reduction internal fixation complicated by wound dehiscence. Acute shortening for primary wound closure was performed followed by relengthening in a circular frame. Owing to the patient's intolerance to the circular frame, pre-existing osseous deformity, large body habitus, and soft tissue compromise, conversion to intramedullary stabilization with standard nailing was deemed exceedingly difficult. We describe the use of a photodynamic bone stabilization system allowing for percutaneous entry and implant flexibility for the purpose of early circular frame removal. This case demonstrates successful protection of immature regenerate using a photodynamic bone stabilization system, offering another tool to minimize time spent in a circular frame.